Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $41.92 / $102.88	Facility		$9.80	$41.92	$102.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $11.11 / $102.88	Professional		$9.80	$11.11	$102.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $38.59 / $293.00	Facility		$17.53	$38.59	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $7.75 / $24.42	Professional		$6.40	$7.75	$24.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $69.00 / $120.71	Facility		$26.48	$69.00	$120.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.22 / $32.43	Professional		$5.75	$8.22	$32.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $20.71 / $52.36	Facility		$10.40	$20.71	$52.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $18.17 / $24.61	Professional		$8.78	$18.17	$24.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $16.00 / $25.60	Professional		$10.10	$16.00	$25.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.00 / $33.33	Professional		$12.80	$16.00	$33.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $76.00 / $76.00	Facility		$55.00	$76.00	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $15.89 / $38.75	Facility		$10.40	$15.89	$38.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.50 / $26.28	Professional		$8.91	$15.50	$26.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $56.16 / $56.16	Professional		$56.16	$56.16	$56.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.80 / $16.00	Professional		$10.30	$12.80	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.22 / $23.19	Professional		$6.72	$7.22	$23.19